NORDBERG PLASTIC SURGERY CENTER, LLC (NPI# 1801231659) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801231659 |
| Entity Type | Organization |
| Organization Name | NORDBERG PLASTIC SURGERY CENTER, LLC |
| Other Organization Name | IMAGINE AESTHETICS |
| Practice Address |
2001 W Main St Suite 150 Stamford CT 06902 |
| Mailing Address |
2001 W Main St Suite 150 Stamford CT 06902-4501 |
| Practice Telephone | 2033244700 |
| Practice Fax Number | 2033245691 |
| Mailing Telephone | 2033244700 |
| Mailing Fax Number | 2033245691 |
| Enumeration Date | 2013-05-07 |
| Last Update Date | 2018-08-22 |
| Authorized Official Name | DR. LEIF O NORDBERG (PRESIDENT) |
| Authorized Official Telephone | 2033244700 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Imagine Aesthetics | Doing Business As Name - Organization |
| Street Address |
2001 W MAIN ST SUITE 150 |
| City | STAMFORD |
| State | CT |
| Zip Code | 06902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740275866 | Katherine Kelly Noble | Pediatrics | 2001 W Main St, Suite 132, Stamford, CT 06902-4501 | 2005-09-14 |
| 1073011870 | Matthew Mason | Physician Assistant | 2001 W Main St, Stamford, CT 06902-4501 | 2018-01-26 |
| 1255844197 | Philease J Martin | Physician Assistant | 2001 W Main St, Stamford, CT 06902-4501 | 2017-11-14 |
| 1548625569 | Sound Beach Pediatrics, LLC | Clinic/Center | 2001 W Main St, Suite 132, Stamford, CT 06902-4501 | 2015-12-17 |
| 1760856306 | Clinic 21 of Connecticut LLC | Emergency Medicine | 2001 W Main St, #100, Stamford, CT 06902-4501 | 2015-11-19 |
| 1619346418 | Celebrating Children | Occupational Therapist | 2001 W Main St, Suite #135, Stamford, CT 06902-4501 | 2015-09-22 |
| 1316386428 | Munroetherapies & Consultation, P.C. | Community/Behavioral Health | 2001 W Main St, Stamford, CT 06902-4501 | 2013-06-21 |
| 1285975417 | Beth O'donnell, Ph.d. LLC | Psychologist | 2001 W Main St, Suite 106g, Stamford, CT 06902-4501 | 2013-03-13 |
| 1598931057 | Louise Marie Anselmo | Physical Therapist | 2001 W Main St, Suite 132, Stamford, CT 06902-4501 | 2008-05-05 |
| 1043482128 | Leif O Nordberg Md, LLC | Clinic/Center | 2001 W Main St, Suite 155, Stamford, CT 06902 | 2008-03-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861043242 | Palak Bhambri | Pharmacist | 537 Canal Street, Stamford, CT 06902 | 2019-09-26 |
| 1730654815 | Brenice Duroseau | Nurse Practitioner | 292 Long Ridge Rd Ste 202, Stamford, CT 06902 | 2018-10-04 |
| 1447732862 | Ngoc Lam | Pharmacist | 1990 West Main Street, Stamford, CT 06902 | 2018-09-01 |
| 1336627264 | Margaret F Gorelick | Nurse Practitioner | Stamford Health, One Hospital Plaza, Stamford, CT 06902 | 2018-08-02 |
| 1174053425 | Ashley Marie Santana | Social Worker | 110 Commons Park N Apt 1158, Stamford, CT 06902 | 2017-06-19 |
| 1578090395 | Anas Al-sabbagh | Dentist | 1 Strawberry Hill Court Suite L7 Stamford, Connecticut, Stamford, CT 06902 | 2017-05-11 |
| 1154862936 | Hillary Rubin | Psychologist | 44 Commerce Avenue, Stamford, CT 06902 | 2017-03-14 |
| 1801332135 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1 Hospital Plz Ste G122, Stamford, CT 06902 | 2017-01-10 |
| 1932563277 | Mary Hurtadodemendoza | Pharmacist | 59 Courtland Ave 2m, Stamford, CT 06902 | 2016-04-13 |
| 1235592247 | Advanced Therapy and Performance LLC | Physical Medicine & Rehabilitation | 75 Selleck Street, Stamford, CT 06902 | 2016-03-29 |
| Find all providers in zip 06902 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245400894 | Stamford Health System, Inc | Clinic/Center | 32 Strawberry Hill Ave, Stamford, CT 06902-2630 | 2008-03-10 |
| 1558540054 | American Current Care Pa PC | Clinic/Center | 15 Commerce Road, 3rd Floor, Stamford, CT 06902 | 2007-10-31 |
| 1932402286 | Tulin Koparan Md PC | Clinic/Center | 1275 Summer St, Suite 313, Stamford, CT 06905-5359 | 2010-12-08 |
| 1376728451 | Velez Chiropractic | Clinic/Center | 107 Glenbrook Rd, Stamford, CT 06902-3001 | 2008-01-08 |
| 1225171390 | Immediate Medical Care | Clinic/Center | 825 High Ridge Rd, Stamford, CT 06905-1904 | 2007-02-15 |
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|---|---|---|---|---|
| 1265039093 | Thrive Haven LLC | Clinic/Center | 195 James St Fl 1, New Haven, CT 06513-3847 | 2020-10-05 |
| 1083229165 | Kusher Functional Medicine Center PC | Clinic/Center | 76 Eastern Blvd Ste 103, Glastonbury, CT 06033-4382 | 2020-09-15 |
| 1609414176 | Child and Family Agency of Southeastern Connecticut, Inc. | Clinic/Center | 154 Toll Gate Rd, Groton, CT 06340-3444 | 2019-12-16 |
| 1811532500 | Alpha Wave Health Centers LLC | Clinic/Center | 10 Waterside Dr Ste 101, Farmington, CT 06032-3056 | 2019-11-17 |
| 1093282360 | Tms Neurohealth Pllc | Clinic/Center | 728 Post Rd E Ste 202, Westport, CT 06880-5200 | 2018-10-25 |
| 1982179784 | Wellness Primary Care Pllc | Clinic/Center | 291 S Lambert Rd Ste 5, Orange, CT 06477-3559 | 2018-10-08 |
| 1366953705 | Connecticut Neurodiagnostics, LLC | Clinic/Center | 83 Wooster Heights Rd., Suite 125, Office 145, Danbury, CT 06810 | 2017-10-12 |
| 1366993214 | Ascension Naturopathic Healing Center LLC | Clinic/Center | 175 Boston Post Road, Floor 1, Waterford, CT 06385 | 2016-10-16 |
| 1235588625 | Family Centers Inc. | Clinic/Center | 1 Wilbur Peck Ct Lowr Level, Greenwich, CT 06830-6354 | 2016-06-07 |
| 1578926424 | Chiropractic Wellness Center | Clinic/Center | 75 Hazard Ave Unit I, Enfield, CT 06082-3887 | 2016-03-29 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.